Pneumococcal Pneumonia, Influenza Virus, and Hepatitis B Vaccines (Rev. 1586, 10-06-08)

by  Jared Staheli
June 25th, 2015

For Carriers/AB MACs, Part B of Medicare pays 100 percent of the Medicare allowed amount for pneumococcal vaccines and influenza virus vaccines and their administration.

Part B deductible and coinsurance do not apply for pneumococcal and influenza virus vaccine.

Part B of Medicare also covers the hepatitis B vaccine and its administration. Part B deductible and coinsurance do apply for hepatitis B vaccine.

State laws governing who may administer pneumococcal and influenza virus vaccinations and how the vaccines may be transported vary widely. Medicare contractors should instruct physicians, suppliers, and providers to become familiar with State regulations for all vaccines in the areas where they will be immunizing.

References:

• Pub 100-04 Medicare Claims Processing Manual - Chapter 18